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L6900 — Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining

HCPCS Level II L-code · short descriptor: “Hand restorat thumb/1 finger”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L6900 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1849.18 to $2681.07 depending on state and rural status.

Former-CBA payment limits: ceiling $2465.57 · floor $1849.18

StateNon-ruralRural
AK$2507.26
AL$2186.02
AR$1892.87
AZ$2455.98
CA$2455.98
CO$1849.18
CT$1849.18
DC$1966.93
DE$1966.93
FL$2186.02
GA$2186.02
HI$2681.07
IA$2418.60
ID$2377.15
IL$2387.98
IN$2387.98
KS$2418.60
KY$2186.02
LA$1892.87
MA$1849.18
MD$1966.93
ME$1849.18
MI$2387.98
MN$2387.98
MO$2418.60
MS$2186.02
MT$1849.18
NC$2186.02
ND$1849.18
NE$2418.60
NH$1849.18
NJ$2173.00
NM$1892.87
NV$2455.98
NY$2173.00
OH$2387.98
OK$1892.87
OR$2377.15
PA$1966.93
PR$2172.94
RI$1849.18
SC$2186.02
SD$1849.18
TN$2186.02
TX$1892.87
UT$1849.18
VA$1966.93
VI$2173.00
VT$1849.18
WA$2377.15
WI$2387.98
WV$1966.93
WY$1849.18
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related L-codes

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